학회: The
World congress on cosmetic surgery and aesthetic medicine to be organized -
Breast augmentation using barbed threads and fat graf |
Breast augmentation using barbed threads
and fat graft
Heeyoung Lee. M.D., Ph.D., Hyunjin Yang.
M.D.
Baroyl & Kangnam Plastic Surgery.,
Seoul, Korea.
Fat
graft for breast have still controversy because of low predictability,
absorption, oil cysts, micro calcifications. Especially in thin patients,
frequently we could not choose fat graft. Even though patients want fat graft
only without any artificial implant, we recommend adjuvant surgery like small
silicone implant or barbed sutures(MISJu ™).
The
almost patient want fat graft refuse about silicone implant but, absorbable
threads would be O.K. So we recommend MISJu or 100cc silicone bags for every
breast patients. In Asian patients under 48kg with thin thigh and want fat
graft only, we warn too small volume effects.
We have been developed to reduce absorption
and cysts for 10 years. We concluded that old, bigger adipocytes should be
removed before injection because they would die within 2 weeks and pour out
large amount free oil. But larger number of stem cells would turn to grow and
replace the volume. We use (Lipokit™) syringe to select and remove older
adipocytes with squeezing during centrifugation with 100kg pressure on the fat
tissues. Total volume maintenance rates
increased about 20% of conventional methods. More over these, barbed thread can
gather whole tissues including flank and upper abdomen to central areas, so
volume to be injected would be decreased over 100cc per breast.
As conclusions,
In our 5 year experiences of squeezed fat
and barbed thread splinting and tissue gathering, there was no complication. We
recommend thread surgery in all patient want to increase volume or to correct
ptosis as adjuvant method which also help volume effects and central
projection.